| Samuelle A Jean Charles, | |
|
645 Broadway, Somerville, MA 02145-2528 | |
| (781) 712-6141 | |
| Not Available |
| Full Name | Samuelle A Jean Charles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 645 Broadway, Somerville, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174365118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2291984 (Massachusetts) | Primary |
| Entity Name | Northeast Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuelle A Jean Charles, 147 Clifton St Unit 2, Malden, MA 02148-2526 Ph: (857) 389-4086 | Samuelle A Jean Charles, 645 Broadway, Somerville, MA 02145-2528 Ph: (781) 712-6141 |
Carmen Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Elm St, Somerville, MA 02144 Phone: 617-666-9577 | |
Rita Onyero Agholor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Middlesex Ave, Somerville, MA 02145 Phone: 617-623-3211 | |
Maria Elizabeth Hedberg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 | |
Ms. Brenda Ann Rogers, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Highland Ave, Somerville, MA 02143 Phone: 617-298-4400 Fax: 617-298-2100 | |
Sheena Ann Fremault Macedo, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6032 | |
Mrs. Michelle Lynn Clarke, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Elm St, Suite 105, Somerville, MA 02144 Phone: 617-666-9577 Fax: 617-666-3190 | |
Mr. Donn Bullens Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Highland Ave, Somerville, MA 02144 Phone: 339-368-7696 |